Customer Service
Credit Specialist & Claims
Manual Charge Entry & Charge Review
Insurance Follow Up
Payment Posting
100
The action you should take when you accidentally add a guarantor account to an account workqueue.
What is “completing” the account on the workqueue?
100
This term describes when a payment causes a credit balance on a charge(i.e. the patient overpaid)
What is Overposted?
100
The Department and Svc prov fields are found on this section of the Charge Router Charge Entry form.
What is the Encounter Details section?
100
Click this button on the activity toolbar of a Follow Up workqueue to delay an account from being worked.
What is the Defer button on the activity toolbar?
100
Click this keyboard button to switch between Insurance Payment Posting and Self Payment Posting.
What is F11?
200
In Inquiry, search for all the accounts a patient has by entering their full name in this field.
What is the “Patient” field?
200
This term describes when a payment is not fully matched to charges. Example: Molly has a credit on her account and she does not have any upcoming appointments, pending charges, or other balances due.
What is Undistributed?
200
You have finished resolving all of the errors for a charge session. Clicking this button will cause the corrected charges to be re-evaluated by the Charge Router.
What is the Accept & Resubmit button?
200
View this section of a Follow Up workqueue to view other activities that your colleagues have performed.
What is the Follow-Up Activities section?
200
This field determines the means by which the payment was made.
What is the Source field?
300
This is the path you should follow when collecting same day credit card payments over the phone.
What is Epic > Professional Billing > Enterprise Billing > POS Payment Posting?
300
You are working a “No Response” claim edit workqueue. After you contact the payor, they advise you that they never received the claim. If the payor accepts electronic claims, you should take this action.
What is “Resubmit Claim” ?
300
I should click this button to quickly access Registration from the Charge Router Charge Entry screen.
What is the Go To > Registration button?
300
The coverage that is currently responsible will appear in this color in the Insurance Coverage section of the Follow Up Assistant.
What is yellow?
300
In Self Payment Posting, this is the field that determines how charges will be displayed.
What is the post method field?
400
You receive a call from the mother of an adult patient. She advises that she signed a verbal disclosure to speak on behalf of her daughter. You will look here to view the verbal disclosure agreement.
What is Chart Review > Media Tab?
400
This is the day we go-live!
What is July 1st?
400
When you are working Charge Review Workqueues, these two buttons are security controlled.
What are the Delete and Force Resubmit buttons on the activity toolbar?
400
You are researching a claim using the Follow Up Assistant. Click this hyperlink to view the CMS 1500 Claim Image.
What is the Claim Image number hyperlink?
400
In Insurance Payment Posting, this field shows the amount you expect to be reimbursed by the insurance company.
What is the Allowed field?
500
You are on the phone with a patient who is contesting a charge on their account. These are the steps you take to add the Contested Account Status to their account.
What is Enter a New Activity > Account Status Changed?
500
You are working a claim edit. When you open the Claim Edit Workqueue Companion there are very limited instructions on how to resolve the edit. This type of edit does not include step by step resolution steps or links to fix the issue.
What is an external claim edit?
500
You are manually entering a charge and notice that a specific charge should not be billed to the patient’s insurance. With the appropriate charge line selected, you should click this tab to document that the charge should not be billed to insurance.
What is the Addl Charge Info tab?
500
Once a claim has already gone out and you need to perform the charge correct function, this is the first place where the new charge will be reviewed.
What is the Charge Router?
500
You just finished posting your last check from BCBS. You need to move on to posting checks from Aetna. Select this button to indicate that you need to post payments from another payor.
What is the New Check button?
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